Abstract
Hidradenitis suppurativa is a chronic suppurative inflammation of the apocrine sweat glands. Axillary, inframammary, intermammary, and peri-areolar apocrine gland involvement may be visualized mammographically. Characteristic lesions tend to be round or oval, lucent, and smooth-bordered, with or without central densities. While diagnosis made purely via mammography is unlikely, having an awareness of this entity may prove useful in patient care in regards to proper utilization of both imaging and consultative resources.
Highlights
A 58-year old woman was referred to our facility seconddary to repeated cyst formation and sinus tract drainage within the right axilla
While diagnosis made purely via mammography is unlikely, having an awareness of this entity may prove useful in patient care in regards to proper utilization of both imaging and consultative resources
Despite frequent attempts at incision and drainage in addition to prior treatments with isotretinoin and doxycycline, formation of cysts persisted. She was given the provisional diagnosis of hidradenitis suppurativa over two decades ago, with concomitant bacterial infections overriding the diagnostic consideration of Fox-Fordyce disease
Summary
A 58-year old woman was referred to our facility seconddary to repeated cyst formation and sinus tract drainage within the right axilla. Inframammary, intermammary, and peri-areolar apocrine gland involvement may be visualized mammographically. Characteristic lesions tend to be round or oval, lucent, and smooth-bordered, with or without central densities. While diagnosis made purely via mammography is unlikely, having an awareness of this entity may prove useful in patient care in regards to proper utilization of both imaging and consultative resources.
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